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The possibility of SpA diagnosis should be considered and specifically looked for, as this could impact on management and response to treatment. This study calls for vigilance in seronegative RA patients, especially those with more atypical presentations, since the diagnosis could change. The possibility of SpA diagnosis should be considered and specifically looked for, as this could impact on management and response to treatment. The U.S. Preventive Services Task Force recommends regular cervical cancer screening for women aged 21-65 ye